Provider Demographics
NPI:1952355729
Name:RHEE, RICHARD JINHO (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JINHO
Last Name:RHEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:241 WEST MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:PA
Mailing Address - Zip Code:17547-1413
Mailing Address - Country:US
Mailing Address - Phone:717-875-5084
Mailing Address - Fax:509-586-5178
Practice Address - Street 1:6052 VILLA SANTINI
Practice Address - Street 2:
Practice Address - City:BONSALL
Practice Address - State:CA
Practice Address - Zip Code:92003-6225
Practice Address - Country:US
Practice Address - Phone:760-724-9875
Practice Address - Fax:509-586-5178
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV116282085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8867709Medicare PIN
WAP00452409Medicare PIN
H63494Medicare UPIN